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    Form 6 Revised 2020

    Uploaded by

    Christine Gornez Villacampa
    This document is an application for leave form containing the following information: 1) It requests details about the applicant's office, name, position, salary and type of leave being applied for. 2) The applicant must specify if the leave is for vacation, sick leave, maternity leave, or other types and provide dates and number of days. 3) Space is provided to recommend approval or disapproval and certify the applicant's leave credits and balances. 4) The form requires signatures for recommending and approving officers to process the leave application.

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    Form 6 Revised 2020

    Uploaded by

    Christine Gornez Villacampa
    10 views1 page
    This document is an application for leave form containing the following information: 1) It requests details about the applicant's office, name, position, salary and type of leave being applied for. 2) The applicant must specify if the leave is for vacation, sick leave, maternity leave, or other types and provide dates and number of days. 3) Space is provided to recommend approval or disapproval and certify the applicant's leave credits and balances. 4) The form requires signatures for recommending and approving officers to process the leave application.

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    ABSENT FORM 6

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    This document is an application for leave form containing the following information: 1) It requests details about the applicant's office, name, position, salary and type of leave being applied for. 2) The applicant must specify if the leave is for vacation, sick leave, maternity leave, or other types and provide dates and number of days. 3) Space is provided to recommend approval or disapproval and certify the applicant's leave credits and balances. 4) The form requires signatures for recommending and approving officers to process the leave application.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xlsx, pdf, or txt
    10 views1 page

    Form 6 Revised 2020

    Uploaded by

    Christine Gornez Villacampa
    This document is an application for leave form containing the following information: 1) It requests details about the applicant's office, name, position, salary and type of leave being applied for. 2) The applicant must specify if the leave is for vacation, sick leave, maternity leave, or other types and provide dates and number of days. 3) Space is provided to recommend approval or disapproval and certify the applicant's leave credits and balances. 4) The form requires signatures for recommending and approving officers to process the leave application.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xlsx, pdf, or txt
    of 1

    Civil Service Form No.

    6 ANNEX A
    Revised 2020

    Stamp of Date of Receipt

    APPLICATION FOR LEAVE


    1. OFFICE/DEPARTMENT 2. NAME: (Last) (First) (Middle)

    3. DATE OF FILING 4. POSITION 5. SALARY

    6. DETAILS OF APPLICATION

    6.A TYPE OF LEAVE TO BE AVAILED OF 6.B DETAILS OF LEAVE

    Vacation Leave (Sec. 51, Rule XVI, Omnibus Rules Implementing E. O. No. 292) In case of Vacation/Special Privilege Leave:

    Mandatory/Forced Leave (Sec. 25, Rule XVI, Omnibus Rules Implementing E.O. No. 292) Within the Philippines

    Sick Leave (Sec. 43, Rule XVI, O'mnibus Rules Implementing E.O. No. 292) Abroad (Specify)

    Maternity Leave (R.A. No. 11210/IRR issued by CSC, DOLE and SSS) In case of Sick Leave:

    Paternity Leave (R.A. No. 8187/CSC MC No. 71, s. 1998, as amended) In Hospital (Specify Illness)

    Special Privilege Leave (Sec. 21, Rule XVI, Omnibus Rules Implementing E.O. No. 292) Out Patient (Specify Illness)

    Solo Parent Leave (RA No. 8972/CSC MC No. 8, s. 2004) In case of Special Leave Benefits for Women:

    Study Leave (Sec. 68, Rule XVI, Omnibus Rules Implementing E.O. No 292) (Specify Illness)

    10-Day VAWC Leave (RA No. 9262/CSC MC No. 15, s. 2005) In case of Study Leave:

    Rehabilitation Privilege (Sec. 55, Rule XVI, Omnibus Rules Implementing E.O. No. 292) Completion of Master's Degree

    Special Leave Benefits for Women (RA No. 9710/CSC MC No. 25, s. 2010) BAR/Board Examination Review

    Special Emergency (Calamity) Leave (CSC MC No. 2, s. 2012 as amended) Other purpose:

    Adoption Leave (R.A. No. 8552) Monetization of Leave Credits

    Others: Terminal Leave

    6.C NUMBER OF WORKING DAYS APPLIED FOR 6.D COMMUTATION

    Not Requested
    Requested
    INCLUSIVE DATES

    (Signature of Applicant)

    7. DETAILS OF ACTION ON APPLICATION


    7.A CERTIFICATION OF LEAVE CREDITS 7.B RECOMMENDATION

    As of _______________________________________________

    Vacation Leave Sick Leave For approval

    Total Earned For disapproval due to

    Less this application

    Balance

    LANI B. YURONG ERNEWIN B. ESTOCONING


    Administrative Officer V Authorized Officer

    7.C APPROVED FOR: 7.D DISAPPROVED DUE TO:

    days with pay


    days without pay
    others (Specify)

    NERI C. OJASTRO EdD, CESE


    Schools Division Superintendent

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